| NPI | 1962879429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018712) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW130090) |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2024-10-23 |